To determine the burden of ectopic pregnancy in the tertiary care centre (TRIHMS) of Arunachal Pradesh and its implication on the type of surgical and anaesthetic management

Abstract

The incidence of Ectopic Pregnancy (EP) is 1 – 2% in India, with mortality rate of none to 3.5%. It is considered to be emerging as one of the leading problem for woman’s fertility with major mortalities in reproductive age group.In this study we had intended to find out the incidence of EP in tertiary care centre of Arunachal Pradesh along with clinical presentation and mode of surgical and anaesthetic management. After clearance from Institutional ethics committee, patients’ with diagnosis of ectopic pregnancy, whether elective or emergency were included in this study. This study aimed to determine the incidence of EP, type of surgical intervention and mode of anaesthesia. 81 diagnosed cases of EP admitted in obstetrics ward were enrolled for this study. The incidence of EP was 22.9 per 1000 deliveries in tertiary care centre of state of Arunachal Pradesh. Emergency contraceptive pill intake was single most leading risk factor in this study, with history of intake in 28.4% of the cases. 85.2% cases had salphingectomy and 90.1% surgeries were conducted under spinal anaesthesia EP may be rising in recent trends due emerging use of contraceptive and other reproductive techniques. We conclude that the ectopic pregnancy is major cause of morbidity in reproductive female age group; however, with timely diagnosis and collaborative obstetrical and anaesthetic management, its mortality can be reduced significantly.